Association of meeting both muscle strengthening and aerobic exercise guidelines with prevalent overweight and obesity classes - results from a nationally representative sample of German adults

Article

Tittlbach, Susanne A., Hoffman, Sacha W. and Bennie, Jason A.. 2022. "Association of meeting both muscle strengthening and aerobic exercise guidelines with prevalent overweight and obesity classes - results from a nationally representative sample of German adults." European Journal of Sport Science. 22 (3), pp. 436-446. https://doi.org/10.1080/17461391.2020.1870161
Article Title

Association of meeting both muscle strengthening and aerobic exercise guidelines with prevalent overweight and obesity classes - results from a nationally representative sample of German adults

ERA Journal ID9751
Article CategoryArticle
AuthorsTittlbach, Susanne A. (Author), Hoffman, Sacha W. (Author) and Bennie, Jason A. (Author)
Journal TitleEuropean Journal of Sport Science
Journal Citation22 (3), pp. 436-446
Number of Pages11
Year2022
PublisherTaylor & Francis
Place of PublicationMilton Park, United kingdom
ISSN1536-7290
1746-1391
Digital Object Identifier (DOI)https://doi.org/10.1080/17461391.2020.1870161
Web Address (URL)https://www.tandfonline.com/doi/full/10.1080/17461391.2020.1870161
Abstract

Objectives: German national physical activity guidelines specify adults (>= 18 years) should engage in at least: (i) 150 min of aerobic moderate-to-vigorous-intensity physical activity/week (MVPA); and (ii) muscle-strengthening exercise (MSE) 2 days/week. However, the relationship between MVPA and MSE and overweight/obesity has not been examined among German adults. Aim of this study was to examine whether meeting the guidelines for both MVPA and MSE is associated with a lower prevalence of overweight/obesity compared to meeting MVPA or MSE alone or none of them, among a nationally representative sample of German adults.

Methods: The cross-sectional study drew data from the 2014 German Health Update (GEDA) (n=22,822; >= 18 years). Physical activity (MVPA-MSE), height/weight, socio-demographic, health and lifestyle factors were assessed by self-report via validated questionnaires. Generalized linear models with Poisson regression were used to assess prevalence ratios of Body Mass Index-derived (BMI) overweight/obesity across categories of physical activity guideline adherence (met neither; MSE only; MVPA only; met both).

Results: Compared to other physical activity groups, meeting both the MVPA-MSE guidelines was associated with the lowest prevalence rate of overweight/obesity (Adjusted Prevalence Ratios [APR] range: 0.25-0.73). Associations between BMI and physical activity were strongest among Class II obesity (APR range: 0.25-0.45). The associations remained consistent after adjusting sociodemographic and lifestyle factors.

Conclusions: Meeting the combined MVPA-MSE guideline, as suggested in the German national physical activity recommendations, showed the lowest overweight/obesity prevalence. Promoting uptake and adherence of both MVPA and MSE at the population level could help to reduce the public health burden of obesity.

Keywordsexercise, health, obesity, quantitative study, strength
ANZSRC Field of Research 2020420799. Sports science and exercise not elsewhere classified
420201. Behavioural epidemiology
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Byline AffiliationsUniversity of Bayreuth, Germany
Institute for Resilient Regions
Institution of OriginUniversity of Southern Queensland
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Milat, Andrew J., Laws, Rachel, King, Lesley, Newson, Robyn, Rychetnik, Lucie, Rissel, Chris, Bauman, Adrian E., Redman, Sally and Bennie, Jason. 2013. "Policy and practice impacts of applied research: a case study analysis of the New South Wales Health Promotion Demonstration Research Grants Scheme 2000–2006." Health Research Policy and Systems. 11 (5), pp. 1-15. https://doi.org/10.1186/1478-4505-11-5
Workplace Sitting Breaks Questionnaire (SITBRQ): an assessment of concurrent validity and test-retest reliability
Pedisic, Zeljko, Bennie, Jason A., Timperio, Anna F., Crawford, David A., Dunstan, David W., Bauman, Adrian E. and Salmon, Jo. 2014. "Workplace Sitting Breaks Questionnaire (SITBRQ): an assessment of concurrent validity and test-retest reliability." BMC Public Health. 14 (1), pp. 1-9. https://doi.org/10.1186/1471-2458-14-1249
Unaccustomed eccentric contractions impair plasma K+ regulation in the absence of changes in muscle Na+,K+-ATPase content
Goodman, Craig A., Bennie, Jason A., Leikis, Murray J. and McKenna, Michael J.. 2014. "Unaccustomed eccentric contractions impair plasma K+ regulation in the absence of changes in muscle Na+,K+-ATPase content." PLoS One. 9 (6), pp. e101039-1. https://doi.org/10.1371/journal.pone.0101039
Self-reported health-enhancing physical activity recommendation adherence among 64,380 finnish adults
Bennie, J. A., Pedisic, Z., Suni, J. H., Tokola, K., Husu, P., Biddle, S. J. H. and Vasankari, T.. 2017. "Self-reported health-enhancing physical activity recommendation adherence among 64,380 finnish adults." Scandinavian Journal of Medicine and Science in Sports. 27 (2), pp. 1842-1853. https://doi.org/10.1111/sms.12863
Variations in area-level disadvantage of Australian registered fitness trainers usual training locations
Bennie, Jason A., van Uffelen, Jannique G. Z., Banting, Lauren K., Biddle, Stuart J. H. and Thornton, Lukar E.. 2016. "Variations in area-level disadvantage of Australian registered fitness trainers usual training locations." BMC Public Health. 16, pp. 1-7. https://doi.org/10.1186/s12889-016-3250-3
Too much sitting and all-cause mortality: is there a causal link?
Biddle, Stuart J. H., Bennie, Jason A., Bauman, Adrian E., Chau, Josephine Y., Dunstan, David, Owen, Neville, Stamatakis, Emmanuel and van Uffelen, Jannique G. Z.. 2016. "Too much sitting and all-cause mortality: is there a causal link?" BMC Public Health. 16, pp. 1-10. https://doi.org/10.1186/s12889-016-3307-3
Associations between social ecological factors and self-reported short physical activity breaks during work hours among desk-based employees
Bennie, Jason A., Timperio, Anna F., Crawford, David A., Dunstan, David W. and Salmon, Jo L.. 2011. "Associations between social ecological factors and self-reported short physical activity breaks during work hours among desk-based employees." Preventive Medicine. 53 (1-2), pp. 44-47. https://doi.org/10.1016/j.ypmed.2011.05.015